NPI | 1114166246 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | GINA ROOD Sr. It Systems Analyst 234-312-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-02-12 |
Last Update Date | 2021-08-10 |